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Revista Virtual de la Sociedad Paraguaya de Medicina Interna
versión On-line ISSN 2312-3893
Resumen
CANETE CANETE, Nayeli Abigahil et al. Staging and treatment of diabetic foot in the Emergency Department of the Hospital Nacional de Itauguá, Paraguay, 2024. Rev. virtual Soc. Parag. Med. Int. [online]. 2025, vol.12, n.1, e12122521. Epub 27-Sep-2025. ISSN 2312-3893. https://doi.org/10.18004/rvspmi/2312-3893/2025.e12122521.
Introduction:
Diabetic foot is one of the most serious complications of diabetes mellitus, associated with high rates of amputation and mortality.
Objectives:
To determine the staging and treatment of patients with diabetic foot admitted to the Adult Emergency Department of the Hospital Nacional de Itauguá, Paraguay, in 2024.
Methodology:
A descriptive, retrospective, cross-sectional observational study was conducted using data from medical records.
Results:
A total of 228 medical records with a diagnosis of diabetic foot were evaluated. Males predominated at 57.89%. The mean age was 61 ± 10 years. The most frequent comorbidities were hypertension (82.46%) and peripheral arterial disease (35.96%). Thirty-point seven percent had a history of amputation. The most frequent Wagner scale grade was IV (64.91%). The most frequent surgical treatment was amputation (72.82%). Three-point five one percent died from sepsis that originated in the skin and soft tissues.
Conclusions:
The most frequent grade on the Wagner scale was IV. All patients received antibiotic therapy and wound care. The most frequent surgical treatment was limb amputation.
Palabras clave : type 2 diabetes mellitus; diabetic foot; surgical amputation; complications of diabetes.
